Somatic Symptom Disorders; Feeding & Eating Disorders; Elimination Disorders Flashcards
Somatic Symptom Disorder
One or more current somatic symptoms that are distressing or result in significant disruption to daily life
Excessive thoughts, feelings or behaviors related to the somatic symptoms or associated health concerns:
- disproportionate or persistent thoughts about the seriousness of one’s symptoms
- persistently high level of anxiety about health or symptoms
- excessive time and energy devoted to these symptoms or health concerns
State of being symptomatic is persistent (typically more than 6 months)
Somatic symptoms without an evident medical explanation are not sufficient to make a diagnosis
- suffering is authentic, whether or not it is medically explained
Experience of physical symptoms: pain, shortness of breath, weakness, etc.
Illness Anxiety Disorder
Preoccupation with having or acquiring a serious illness
Somatic symptoms do not have to be present; mild if at all
Performs excessive health related behaviors
Preoccupation is present at least 6 months
Conversion Disorder
Experience of severe neurologic impairments with no medical explanation
Clinical findings provide evidence of incompatibility between the symptom and recognized neurological or medical conditions
Specified symptoms include:
- paralysis, weakness, blindness, swallowing impairment, tremors, etc.
Factitious Disorder
Falsification of medical or psychological signs and symptoms in oneself or others
Associated with identified deception
Presents self or others as impaired, ill, or injured
Deceptive behavior is evident with or without obvious external reward
Pica
Persistent eating of nonnutritive, nonfood substances (paper, soap, hair, paint, gym, pebbles, clay, etc) over a period of at least one month
Rumination Disorder
Repeated regurgitation of food over period of at least one month
May be re-chewed, re-swallowed, or spit out
Does not occur during other psychological disturbances or medical disorders
Avoidant/Restrictive Food Intake Disorder
Eating or feeding disturbance as manifested by persistent failure to meet appropriate nutritional and/or energy needs
Marked interference with psychosocial functioning
Anorexia Nervosa
Restriction of energy intake relative to requirements, leading to a significantly low body weight (less than minimally expected)
Intense fear of gaining weight
Disturbance in way in which one’s weight or shape is experienced
Bulimia Nervosa
Recurrent episodes of binge eating (can experience a sense of loss of control)
Recurrent inappropriate compensatory behaviors in order to prevent weight gain:
- self-induced vomiting
- misuse of laxatives
- fasting
- excessive exercise
Occur at least once a week for 3 months
Enuresis
Repeated voiding of urine into bed or clothes, whether involuntary or intentional
At least twice a week for at least 3 consecutive months
Chronological age is at least 5 years
Encopresis
Repeated passage of feces into inappropriate places, whether voluntary or involuntary
At least one such event occurs each month for at least 3 months
Chronological age is at least 4
Somatization
Unconscious process by which psychological distress is expressed as physical symptoms
Often occur as reactions to stressful situations
May lead to over utilization of medical care
Malingering
NOT CONSIDERED A MENTAL ILLNESS
Intentionally falsifying or grossly exaggerating physical or psychological problems
Motivation is external, such as avoiding work/military, obtaining reward (financial resources, medications), avoiding legal action, etc
Can be considered an adaptive response i.e. seeking unattainable but necessary resources
